DR. CRYSTAL SHORES PSYD, LP
NPI 1023401452
Psychologist in Chaska, MN

Active since March 10, 2015PECOS EnrolledAccepts Medicare Assignment
602 E 4TH ST, CHASKA, MN 55318(952) 361-1848 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Crystal Shores Psyd, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CRYSTAL SHORES PSYD, LP (NPI 1023401452) is an individual psychologist in Chaska, Minnesota, licensed in Minnesota (LP5721) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1023401452
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CRYSTAL SHORESCredential: PSYD, LP
Location Address602 E 4TH STChaska, MN 55318-2102
Mailing Address602 E 4th StChaska, MN 55318-2102
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 10, 2015
NPI 1023401452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP5721
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
602 E 4TH ST, Chaska, MN 55318

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Crystal Shores Psyd, Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830417237
PECOS Enrollment IDI20150415001275
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
602 E 4TH ST
CHASKA, MN 55318
Case Management
602 E 4TH ST
CHASKA, MN 55318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Shores's NPI number?

The NPI number for Crystal Shores is 1023401452. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Where is Crystal Shores located?

Crystal Shores practices at 602 E 4th St, Chaska, MN 55318. The listed phone number is (952) 361-1848.

What is Crystal Shores's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Crystal Shores enrolled in Medicare?

Yes. Crystal Shores is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Crystal Shores accept?

Health plans from HealthPartners list Crystal Shores as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Shores was last updated on March 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.